Signify Health Receives NCQA’s HEDIS Allowable Adjustments Certification

More than 90 percent of health plans in the United States, covering 190 million people, rely on NCQAs HEDIS measurement tool.

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Wednesday, September 21, 2022
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Software, Data Analytics, General Health, Health, Professional Services, Technology, Health Insurance, Other Technology, Healthcare Effectiveness Data and Information Set, NCQA, Osteoporosis, Gaps, HEDIS, Woman, Bone, NYSE, Risk, MD, National Committee, National Committee for Quality Assurance, Organization, Colorectal cancer, LinkedIn, Company, Information set, Fracture, Diabetes, Patient, Facebook, Certification, Technology, Quality of life, Solution, Quality assurance, Ageing, Health, Bone disease, Health insurance, Medical device, Medicare
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TEXAS, NEW YORK, UNITED STATES, NORTH AMERICA
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Organisation: 
SIGNIFY HEALTH, NCQA
Stock Symbol: 
NYSE:SGFY
Summary
Key Points: 
  • More than 90 percent of health plans in the United States, covering 190 million people, rely on NCQAs HEDIS measurement tool.
  • Through our comprehensive data set and analytics, Signify Health is able to effectively identify at-risk patients and connect them with the appropriate diagnostic and preventive services, said Marc Rothman, MD, Chief Medical Officer, Signify Health.
  • In 2021, Signify Health announced the certifications for diabetes care, kidney health evaluation in patients with diabetes, colorectal cancer screening, and osteoporosis management in women.
  • NCQAs Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care.


Signify Health (NYSE: SGFY), a leading healthcare platform that leverages advanced analytics, technology, and nationwide healthcare networks to create and power value-based payment programs, has again achieved the National Committee for Quality Assurance (NCQA) certification for the Healthcare Effectiveness Data and Information Set (HEDIS®). This is the second year in which the Company has received this certification.

NCQA provides accreditations and certifications to evaluate a wide range of organizations across the healthcare system. More than 90 percent of health plans in the United States, covering 190 million people, rely on NCQA’s HEDIS measurement tool.

The methodology that Signify Health uses to identify Medicare members who have gaps in their care and would benefit from in-home diagnostic testing was evaluated and certified by NCQA. Receiving this certification allows Signify Health to provide services that align with the industry's most rigorous data assessment processes, resulting in more accurate and timely clinical services for eligible members.

“Through our comprehensive data set and analytics, Signify Health is able to effectively identify at-risk patients and connect them with the appropriate diagnostic and preventive services,” said Marc Rothman, MD, Chief Medical Officer, Signify Health. “We are proud to once again have achieved this NCQA certification, demonstrating our ability to effectively identify gaps in care and to support access to high-quality health services.”

NCQA HEDIS measures relate to many of the most significant chronic health conditions facing seniors in Medicare. In 2021, Signify Health announced the certifications for diabetes care, kidney health evaluation in patients with diabetes, colorectal cancer screening, and osteoporosis management in women.

In 2022, Signify Health was recertified for all of the measures from 2021 that are still recognized by NCQA and expanded its certification to include osteoporosis screening as a preventive measure for older women who have not had a fracture. Osteoporosis is a serious bone disease that impacts the quality of life, especially for women aged 67-85. With the appropriate screenings and interventions, the risk of future bone fractures related to osteoporosis can be reduced.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA Measure Certification Program™ is a trademark of the National Committee for Quality Assurance (NCQA).

About Signify Health

Signify Health is a leading healthcare platform that leverages advanced analytics, technology, and nationwide healthcare provider networks to create and power value-based payment programs. Our mission is to build trusted relationships to make people healthier. Our solutions support value-based payment programs by aligning financial incentives around outcomes, providing tools to health plans and healthcare organizations designed to assess and manage risk and identify actionable opportunities for improved patient outcomes, coordination and cost-savings. Through our platform, we coordinate what we believe is a holistic suite of clinical, social, and behavioral services to address an individual’s healthcare needs and prevent adverse events that drive excess cost, all while shifting services towards the home.

About NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.

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